Evidence map›Paper›PMID 34189632›Full record

ArticleAnnals of biomedical engineering2021

Balance Between Mechanical Stability and Mechano-Biology of Fracture Healing Under Volar Locking Plate.

Xuanchi Liu, Saeed Miramini, Minoo Patel, JinJing Liao, Darpan Shidid, Lihai Zhang

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Article in Annals of biomedical engineering, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 1 pooled it
2.1field-weighted citation impact, top 13% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

9 citing papers in PubMed, 1 synthesis or guideline pooled it, 16 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Review
  4. Article
  5. Real-time biofeedback monitoring rehabilitation of distal radius fracture.Journal of neuroengineering and rehabilitation · 2025
    Article
  6. Article
  7. [Application of minimally invasive techniques in clinical treatment of tibial plateau fractures].Zhongguo xiu fu chong jian wai ke za zhi = Zhongguo xiufu chongjian waike zazhi = Chinese journal of reparative and reconstructive surgery · 2025
    Review
  8. Individual muscle strengths in rehabilitation outcomes of distal radius fracture.Journal of neuroengineering and rehabilitation · 2025
    Article
  9. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 3 institutions in 1 country.

Xuanchi LiuDepartment of Infrastructure Engineering, The University of Melbourne, Parkville, VIC, Australia.
Saeed MiraminiDepartment of Infrastructure Engineering, The University of Melbourne, Parkville, VIC, Australia.
Minoo PatelCentre for Limb Lengthening & Reconstruction, Epworth Hospital Richmond, Richmond, VIC, Australia.
JinJing LiaoDepartment of Infrastructure Engineering, The University of Melbourne, Parkville, VIC, Australia.
Darpan ShididRMIT Centre for Additive Manufacture, RMIT University, Melbourne, VIC, Australia.
Lihai ZhangDepartment of Infrastructure Engineering, The University of Melbourne, Parkville, VIC, Australia. lihzhang@unimelb.edu.au.ORCID http://orcid.org/0000-0002-1282-992X
The University of Melbourne · AUEpworth Hospital · AURMIT University · AU

Funding

Australian Orthopaedic Association 403
6 · The paper itself

Abstract

The application of volar locking plate (VLP) is promising in the treatment of dorsally comminuted and displaced fracture. However, the optimal balance between the mechanical stability of VLP and the mechanobiology at the fracture site is still unclear. The purpose of this study is to develop numerical models in conjunction with experimental studies to identify the favourable mechanical microenvironment for indirect healing, by optimizing VLP configuration and post-operative loadings for different fracture geometries. The simulation results show that the mechanical behaviour of VLP is mainly governed by the axial compression. In addition, the model shows that, under relatively large gap size (i.e., 3-5 mm), the increase of FWL could enhance chondrocyte differentiation while a large BPD could compromise the mechanical stability of VLP. Importantly, bending moment produced by wrist flexion/extension and torsion moment produced from forearm rotation could potentially hinder endochondral ossification at early stage of healing. The developed model could potentially assist orthopaedic surgeons in surgical pre-planning and designing post-operation physical therapy for treatment of distal radius fractures.

Indexed as

Fracture HealingModels, BiologicalRadius FracturesAdultBiomechanical PhenomenaBone PlatesCell DifferentiationElasticityHumansMesenchymal Stem CellsBone-to-plate distanceDistal radius fractureFlexion working lengthFracture healingGap sizeVolar locking plate

Identifiers

PMID34189632
OpenAlexW3174077379

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.